LGBTQ+ and Trans-Affirming Therapists in Austin

These Austin therapists say in their own words that they work with LGBTQ+ clients, and several say they work with trans and nonbinary clients in particular. Two are trans themselves, and a few practices say some or many of their therapists are queer. Every therapist we name holds a current Texas license, which we checked against state records dated October 12, 2026. We list fees and insurance only where the practice publishes them.

We aren’t clinicians, and this page isn’t medical advice. Our How We Choose page explains how we check listings.

If You Need Help Right Now

Call or text 988, the Suicide and Crisis Lifeline. If you’re in danger, call 911. The therapists below book appointments; they aren’t a crisis service. For LGBTQ+ recovery meetings, see our recovery meetings guide.

The Short List

PracticeWhereWhy it’s here
Texas Queer Counseling (Billie Beard)East Austin, off US 290A trans therapist; takes insurance
Liam Moriarty at Moonstone CounselingNorth Austin, MoPacA queer, trans therapist; takes insurance
Willow Tree CollectiveDowntown, W 11th StA queer-owned practice with a trans-affirming therapy page
Sanctuary Counseling (Celia Lugo)East Austin, off US 290LGBTQ+ therapy and EMDR; private pay
Lindsay LegéCentral, W 18th StOver a decade with queer and trans clients
Colors of Austin CounselingWindsor Park and RosedaleQueer, trans, and BIPOC clients at the center; in network with major plans
Waterloo Counseling CenterSouth Austin, I-35A nonprofit for queer mental health since 1983
Luminary CounselingEast Austin, off US 290Many of its therapists are LGBTQ+; lower-cost associates
Louis Laves-Webb & AssociatesCentral and North AustinLGBTQIA+ affirming; evening and weekend times
Just Mind CounselingNorth Austin and WestlakeSays every therapist is LGBTQ+ affirming
Deep Centered Mental HealthSix Austin clinicsLGBTQ+ only groups; most insurance
Compassionate Self Therapy (Julia Berg)Austin and onlineTrauma and OCD care; lists LGBTQIA+ affirming

Small Practices and Solo Therapists

Texas Queer Counseling: Billie Beard, LPC

“I am a Transgender Lesbian and a Coast Guard Veteran,” Billie writes on her site. Her booking profile says, “I work with people that identify with the LGBTQIA+ community and their families,” and lists sexual and gender identity, gender expression, medical transition, and religious trauma among what she helps with. Her site also mentions groups for trans clients; ask whether one is running.

  • Where: 6448 E Hwy 290, Suite E-102, Austin 78723. 512-774-5688. In person or virtual
  • License: licensed professional counselor, LPC 83172, active
  • Insurance, as stated: Aetna, Cigna, Oscar, Oxford, UnitedHealthcare, and Blue Cross Blue Shield
  • Booking: a free 15-minute phone consult through her Headway profile

Is this your practice? Update this listing

Liam Moriarty, LCSW, at Moonstone Counseling

“I was drawn to become a therapist as a queer, transgender person with a desire to see people like me represented in the profession,” Liam writes. He works with adults and teens on grief, anxiety, depression, trauma, substance use, and gender and sexuality exploration.

  • Where: Moonstone’s North Austin office, 8500 N MoPac Expy, Austin 78759. The site lists Suite 601 with a notice that the office is moving to Suite 402 on October 1, so confirm the suite. Telehealth too. (512) 527-3275
  • License: licensed clinical social worker, LCSW 58834, active
  • Insurance, as stated: Aetna, Baylor Scott & White, Blue Cross Blue Shield, Curative, Medicare Part B and Medicare Advantage, Optum/UHC/UMR/Oscar, and Sendero; private pay too
  • Booking: a free consultation from Liam’s page

Is this your practice? Update this listing

Willow Tree Collective

“As a queer owned practice,” Willow Tree writes, “we help clients cultivate a deeper understanding and acceptance of their identity.” It has a separate page on trans-affirming therapy, which says plainly that none of its therapists identify as transgender and that some have lived experience in the queer community. It also works with people coming out later in life and with parents whose kid just came out.

  • Where: 825 W 11th St, Suite 1C, Austin 78701. (512) 766-0791
  • Licenses: founder Meg Mattingly, LPC (Texas lists an active LPC, 82354, for Margaret G. Mattingly); Claire Meade, LPC-Associate 97060, active; Elizabeth Hoang, LPC-Associate 97109, active
  • Cost: not published on the pages we read; ask when you reach out
  • Booking: trans-affirming therapy at Willow Tree

Is this your practice? Update this listing

Sanctuary Counseling: Celia Lugo, LPC

Sanctuary offers “a safe, affirming space for folx of all sexual and gender identities to access emotional healing.” Celia’s bio says she “loves working with fellow members of the BIPOC and LGBTQ+ communities.” Her work includes trauma and EMDR, religious trauma, and body image from a fat-liberation stance.

  • Where: 6448 E Hwy 290, Austin 78723, the same building as Texas Queer Counseling. (512) 387-1363. Online anywhere in Texas
  • License: licensed professional counselor, LPC 80698, active
  • Cost, as stated: $190 for 50 minutes, $300 for 80. No insurance; she can give you a superbill to send your insurer
  • Booking: Sanctuary’s LGBTQ+ therapy page

Is this your practice? Update this listing

Lindsay Legé, LCSW

Lindsay writes that she has “over a decade of experience supporting queer and trans clients.” She sees individuals and couples, adults only, in Texas and Georgia.

  • Where: 601 W 18th St, Austin 78701, or virtual. (512) 222-7996
  • License: licensed clinical social worker, LCSW 59378, active
  • Cost, as stated: $190 for individual sessions, $220 for couples. No insurance; superbills on request. She offers a reduced fee, but her site says she has no reduced-fee openings right now
  • Booking: a free 20-minute Zoom consultation through her site

Is this your practice? Update this listing

Colors of Austin Counseling

“Queer, trans, nonbinary and questioning clients are at the center of our work, not an add-on,” Colors of Austin writes. Its LGBTQIA+ page says, “Your therapist will use your name and pronouns.” The practice centers BIPOC and LGBTQIA+ clients and sees kids from age 3, teens, adults, couples, and families supporting an LGBTQIA+ family member.

  • Where: 5800 Berkman Dr, Austin 78723 (Windsor Park) and 4104 Marathon Blvd, Unit A, Austin 78756 (Rosedale). 512-829-8738. Video sessions anywhere in Texas
  • License: founder Vanessa Flores Newton, LCSW (Texas lists an active LCSW, 52990, for Vanessa Marie Newton). The practice lists many more therapists; we didn’t check each one
  • Insurance and cost, as stated: in network with plans including BCBS, Aetna, and UnitedHealthcare, varying by therapist. Self-pay is $185 for individual therapy and $200 for couples. The site also lists a sliding-scale program at $5 to $85; ask about openings
  • Booking: Colors of Austin’s LGBTQIA+ page

Is this your practice? Update this listing

Waterloo Counseling Center

Waterloo has offered “safe & affirming space for your queer mental health needs since 1983.” It’s a program of Texas Health Action, the nonprofit that runs Kind Clinic, and lists LGBTQIA+ and coming-out issues and living with HIV among its areas of expertise. It offers individual, couples and family, and group therapy, plus letters for adult healthcare. It will arrange an interpreter in any language.

  • Where: 2800 S I-35 Frontage Rd, Suite 215, Austin 78704, the same street address as Kind Clinic’s South location. Sessions are virtual for anyone in Texas; in person on request. 512-444-9922
  • License: Waterloo’s team page doesn’t list its therapists by name. Heath Collins, LCSW, who appears in its how-to-start video, holds an active license (LCSW 51507)
  • Good to know: the contact page says Waterloo has a high volume of requests. New clients start with the intake form on its sign-up page
  • More: Waterloo’s services

Is this your practice? Update this listing

Larger Practices That Take Insurance

Luminary Counseling

“Many of our therapists identify as LGBTQ+ and bring a unique vantage point to the work,” Luminary writes. Its LGBTQ+ page covers gender-affirming therapy and says it offers same-week scheduling and sliding fees when available.

  • Where: 6633 E Hwy 290, Suite 110, Austin 78723, by appointment, or online anywhere in Texas. 512-657-7744
  • License: Jennifer Williams Buffalo, LPC 68244 and LMFT 202020, both active. We didn’t check each of the practice’s other therapists
  • Cost, as stated: $130 for associate therapists (supervised, still earning hours), with some reduced-rate sessions at $100 or less; $160 to $180 for fully licensed therapists. Limited Aetna and Cigna coverage through Headway
  • Booking: a free 30-minute consultation; Luminary’s LGBTQ+ counseling page

Is this your practice? Update this listing

Louis Laves-Webb & Associates

In its FAQ, the practice answers “Do you offer LGBTQIA+ affirming therapy?” with “Yes. We provide LGBTQIA+ affirming therapy for individuals, couples, and families.” It has offered therapy in Austin since 2002, lists same-day, weekend, and evening appointments, and says, “Hablamos español.”

  • Where: 601 W 18th St, Austin 78701, in a converted house near UT; and 3818 Spicewood Springs Rd, Suite 300, Austin 78759. (512) 914-6635. Online anywhere in Texas
  • Licenses: Louis Laves-Webb, LPC 18906 and LCSW 37749; clinical director Kalee Gower, LCSW 64885. All active
  • Cost, as stated: $100 to $200 a session depending on the therapist; a sliding scale “may be available depending on the therapist.” Call to ask about insurance
  • Booking: the practice’s site

Is this your practice? Update this listing

Just Mind Counseling

“All our therapists are LGBTQ+-affirming, and if you’d rather work with an LGBTQ+ therapist specifically, we’ll make that happen,” Just Mind writes. Its LGBTQ+ page lists 33 therapists who specialize in LGBTQ+ issues and covers LGBTQ+ couples, open relationships, and parents of LGBTQ+ kids.

  • Where: 4807 Spicewood Springs Rd, Building 1, #1140, Austin 78759; and 7004 Bee Caves Rd, Building 3, Suite 200, Austin 78746. 512-843-7665. Both open 9 AM to 8 PM every day. Telehealth too
  • Licenses: we didn’t check each of the 33. Ask for your therapist’s license number and look it up yourself (see Before You Book)
  • Booking: Just Mind’s LGBTQ+ page

Is this your practice? Update this listing

Deep Centered Mental Health

“Many of our therapists identify as LGBTQ+ or have extensive experience working with the community,” Deep Centered writes. It runs LGBTQ+ only therapy groups led by LGBTQ+ therapists, offers gender affirmative surgery evaluations for Texas adults, and sees queer couples and people in poly or open relationships. It also has psychiatric providers who manage medication.

  • Where: six Austin clinics, including the original office at 508 Deep Eddy Ave, Austin 78703. (512) 956-6463. Online anywhere in Texas
  • Insurance, as stated: “Most insurance accepted”
  • Licenses: the practice lists more than 200 providers across Texas; we didn’t check individual licenses
  • Booking: Deep Centered’s LGBTQ+ page

Is this your practice? Update this listing

Compassionate Self Therapy: Julia Berg, LPC-Associate

Julia lists “LGBTQIA+ affirming” among her training and writes, “I won’t ask you to explain your family, culture, or identity twice.” Her focus is trauma, childhood emotional neglect, complex PTSD, and OCD, and she describes her practice as neurodivergent-affirming.

  • Where: in person in Austin, with the address shared when you book, or virtual anywhere in Texas
  • License: LPC-Associate 96677, active, supervised by Lynne Silver, LPC 13959, active
  • Booking: a free 15-minute consultation through her site

Is this your practice? Update this listing

For Trans and Nonbinary Clients

Billie Beard and Liam Moriarty are trans therapists. Willow Tree and Colors of Austin publish pages on trans-affirming care, Deep Centered offers surgery evaluations, and Waterloo lists letters for adult healthcare. If you need a letter, ask in the free consultation how the therapist handles it and what it costs.

Before You Book

Most of what matters isn’t on a website. Ask in the free consultation:

  • Experience: how many LGBTQ+ or trans clients have you worked with, and on what?
  • Your name: will my records and insurance claims use the name and pronouns I use?
  • License: what’s your license type and number? If you’ll see an associate (LPC-Associate, LMSW, LMFT Associate), who supervises them?
  • Money: are you in network with my plan? If not, do you have sliding-scale openings now?
  • Telehealth: can I do sessions from anywhere in Texas, and what happens if I’m traveling?
  • Fit: if it isn’t working after a few sessions, can I switch to someone else in the practice?

You can look up any Texas counselor, social worker, marriage and family therapist, or psychologist yourself with the Behavioral Health Executive Council’s license search. It shows whether a license is active and any public discipline. The same agency takes complaints.

What We Couldn’t Check

We didn’t book sessions or talk to any of these therapists, so nothing here is a first-hand review. We checked licenses only for the therapists we name; the group practices list many more. Two names differ from the state record: Meg Mattingly (Margaret G. Mattingly) and Vanessa Flores Newton (Vanessa Marie Newton). We matched them by last name, license type, and practice. We didn’t recheck the national directories the old version of this page listed.

Insurance lists, fees, and openings change. Ask when you call.

Last checked: October 2026. Practice details from each practice’s own site or booking profile, read October 12, 2026. Licenses from the Texas Behavioral Health Executive Council licensee files dated October 12, 2026. We recheck health pages every six months. Practicing in Austin and want to be listed, or see something wrong? Use our contact page.

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